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CITY OF ORONO PERMIT NO.: 2009-00924 <br /> 2750 KELLEY PARKWAY <br /> • ORONO, MN 55356- �ATE Iss[1En: 12/3U2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2345 BLAINE AVE <br /> PIN : 17-117-23-34-0011 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 005 BLOCK 009 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : PASS THROUGH FEES <br /> NOTE: <br /> NAVARRE WATER PLANT-PER MET COUNCIL 3 ADDITIONAL SAC UN1TS REQUIRED <br /> ONE CITY-WIDE CREDIT WILL BE TRANSFERRED AS PART OF PAYMENT <br /> FUNDS TO BE TRANSFERRED BY FINANCE DEPT. <br /> APPLICANT S.A.C. 6,000.00 <br /> (WELL NO. 3 PUMPHOUSE), CITY OF ORONO TOTAL 6,000.00 <br /> P.O. BLAINE AVE <br /> CRYSTAL BAY, MN 55323- PAID WITH CASH 6,000.00 <br /> OWNER <br /> (WELL NO. 3 PUMPHOUSE), CITY OF ORONO <br /> P.O. BLAINE AVE <br /> CRYSTAL BAY, MN 55323- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'fhe work for which this pcnnit is issued shall be perform�d according to <br /> lhe approvcd plans and spccitications,applicable City approvals,and the <br /> State E3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separatc <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This pennit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any[ime afier work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / - ,� <br /> / / <br /> Applicant Permitee Signature Date Issued By�Signature � � Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />